Intra-corneal selective stromal transplantation: а new modification of keratoplasty

Abstract

Currently the optimal method of surgical treatment of stromal dystrophies and corneal degeneration is deep anterior lamellar keratoplasty or penetrating keratoplasty. The aim of the paper is to test and describe the new method of closed keratoplasty without suture-Selective intracorneal stromal transplantation.This method was performed in a 62-year-old patient with stromal degeneration and intact corneal layers between the altered stroma and the Descemet membrane in the back and the Bowman layer in the front. The proposed technique of selective intracorneal stromal transplantation has made it possible to replace only the pathologically altered stroma with a closed surgical approach, without affecting the anterior and posterior surfaces of the cornea. Visual acuity increased from 0.01 to 0.6.